Ricardo Nazario-Colón, MST204 ADUCMorehead, KY 40351Phone: 606-783-2071Fax: 606-783-5023E-mail: email@example.com
Organization's Official Morehead State Name:
Organization's Abbreviation (if any):
Department Affiliation of Club (if any):
Web address (if any):
Person completing this form:
MSU ID #:
All advisors must complete the Advisor Agreement Form and be a Morehead State employee. Student employees/graduate students are not eligible to serve as advisors. Any exceptions must be approved by the Office of Student Activities.
Office Phone #:
must be full-time students (12 credits or more) in good standing with the University
with a minimum cumulative grade point average of 2.30. Employees of the University
are not eligible for officer positions in student organizations. Names and addresses of newly elected officers
must be submitted to Student Activities within ten (10) class days of such
President or Primary Officer
Student ID #:
City, State & Zip Code:
Do you receive text messages? Yes
Vice President or Other Officer
Treasurer or Financial Officer
Secretary or Other Title
Your club will need submit a computer generated list with a complete listing of your roster to be eligible for approval. Please be sure that the attached list includes both a name and MSU ID number. The officers listed above do not have to be listed below a second time.
Member (5) Name:
Member (6) Name:
Member (7) Name:
Member (8) Name:
Member (9) Name:
Member (10) Name:
Place form elements here...
HI: 55° LO: 41°
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